Immunity Lecture PDF

Immunity Inge Luce, MSN/ED, RN-C, NRP Immunity Active Passive Natural DISEASE Breastmilk Develop antibodies Antibodies are passed on Artificial VACCINE Antibody injection Deve...

Immunity Inge Luce, MSN/ED, RN-C, NRP Immunity Active Passive Natural DISEASE Breastmilk Develop antibodies Antibodies are passed on Artificial VACCINE Antibody injection Develop antibodies No memory cells May need boosters Allergies (Type I) Inappropriate Immune Response Pruritis- itching Urticaria- hives Angioedema- lips, tongue, periorbital Treatment Antihistamines Anaphylaxis (Type I) Anaphylaxis – 2 or more body systems (IgE problem) The faster the onset, the worse the reaction will likely be Treatment Epinephrine Steroids Antihistamines Anaphylaxis Treat with Epinephrine 0.3 mg IM for the adult 0.15 mg IM for the pediatric patient Autoinjector is for the vastus lateralis Anaphylaxis Treat with Epinephrine 2 mg IN Repeat in 5 minutes if needed Type II Hypersensiti vity Reactions Systemic Lupus Erythematosus (Type III) Chronic, progressive inflammatory connective tissue disorder Butterfly rash, discoid skin rashes. Disturbed body image Protect skin (avoid sun, infection, use lotion, no perfumes) Promote rest, monitor for infection Steroids (topical and oral) can help but can increase infection Taper off to avoid Addison like crisis Type IV Hypersensitivity Reaction Asthma Contact dermatitis Substance Poison Ivy Local reactions to bites/stings HIV Chronic infection that impairs the immune system Sexual, Parenteral, Perinatal Transmission Blood, body fluids, placenta, delivery, breast feeding Reducing transmission risks is a priority Stages of HIV and AIDS illness Stage Stage Stage Stage 0 1 2 3 Acute Chronic WORSE AIDS Normal CD4+ CD4+ CD4+ Lab >500 200-499